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APPLICATI& FOR CONSTRUCRON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 A (425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILD INGi ❑ MECHANICAL PLUMBING BYSIGN <br />P�QJECT 90RESS.7 nn// G/itneaa ELf%r u.�„ //. DCStf�li=? 7N tN.LNb l�rH'z LJp �j�y�l� <br />uw <br />ZIP <br />MFCNANICAL CONIRAC ION MAIL ALONE 5S CRY !IP PIONF STATE LICENSE• <br />PI UMBMG CMIRACICP MAX ADORE SS I:GY ZIP PNCNF STATE ICENSF• <br />CpItRAtI PRIDE MVIORB <br />HEATING SYSTEM: U GAS ❑ELECTRIC ❑ <br />OEBCRIBF WDtIN AND SWANE FOOiAOE MVCIVED <br />CONTACT PERSON AM PNDFIF NO <br />'772- 5- <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW IS) 27 RCW AND 296 200 WAC. <br />X��(/Y-•-]O -ClE <br />PNOM)SFD USE DF BUILDING <br />LEGAL DEXPoPIIGN or PnorERTY IyaWN BELOW OFT ATTACH TWO COMES) <br />LOT DLOCA OF <br />PAnLEL I.10 POURER <br />CWSInI1C110NLMN1[MIEII.ARWESB. IFlf1N1011EMINBFD <br />SAUUIIE UATI <br />%/ <br />Gb BDyNE55lKFNSC ND <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C —A/HNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />AS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />CLOT14ES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />_ <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNINGI <br />FLOOR BRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR, ETC.) <br />GAS PIPING <br />EXHAUST FAN <br />SUBTOTAL S <br />SUBTOTAL S <br />PERMIT S <br />PERMIT S <br />TOTALFEE S <br />TOTALFEE $ <br />FOR OFFICE USE ONLY: <br />FROM YtRA" <br />nEAR SETBACK <br />SIDE SETBACK <br />PIANCNECANUVRFn <br />I /J/A_ <br />RFCFIPt NO <br />USE ZONE /• <br />IDI AREA <br />VACANT BITE <br />FEES <br />VALUATION <br />FEE <br />RIAIMNf <br />T <br />5i 2..., <br />r A(_ <br />DVEB ONTO <br />NEIGNIIUAIANON <br />NO OF DWEIUNG <br />SIZE OF BIOGRI <br />UNITS <br />NAMING <br />CCLDROP, NCY <br />Npry5lMlf <br />Q.LURANI TOAD <br />BASFLIIT <br />VFI:MANNIAI <br />CITE 040 <br />ADGIASK.. MAN C1(CK <br />FMESPENKUPREGO <br />RFASON <br />GU(n <br />FIRE AIARM PLO 0 <br />WA." <br />STAI F HPKGOAG SPACNARGE <br />— <br />4 <br />-L— <br />MIKE OF CONS, <br />PIANSAPPno <br />CITY OF EVERETT <br />,mm.. KIDNAPS <br />-- <br />LOCAL SALES <br />- -- <br />TOTAL <br />TAX CODE IS 3105 <br />DATE <br />